Judy Liesveld is a Gallup, New Mexico based nurse practitioner. Active license number of Judy Liesveld is R30234 in New Mexico. Her current practice location is 2111 College Dr, Rehoboth Mckinley Christian Health Care Services, Gallup. Patients can reach her at 505-863-1820. Judy Liesveld is CNP and her NPI number (Unique professional ID assigned by NPPES) is 1295707651. Judy Liesveld has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Judy Liesveld speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Judy Liesveld
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Credentials:
CNP
Practice Address:
2111 College Dr, Rehoboth Mckinley Christian Health Care Services, Gallup, New Mexico, 87301-5600
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1295707651
NPI Enumeration Date:
01 Feb, 2006
NPI Last Update On:
09 Jul, 2007
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Judy Liesveld are as mentioned below.
License Number
Specialization
State
Status
R30234
New Mexico
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Judy Liesveld such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
99628
Medicaid
New Mexico
PROVP14473
Other
New Mexico
MOLINA
10002112
Other
New Mexico
LOVELACE HEALTH/SALUD
85031326887301A120
Other
CHAMPUS
469066
Medicaid
Arizona
NM006180
Other
New Mexico
BC/BS
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Judy Liesveld 1901 Redrock Dr, Rehoboth Mckinley Christian Health Care Services Gallup, New Mexico
Zip:
87301-5683
Phone Number:
505-863-7000
Patients can reach Judy Liesveld at 2111 College Dr, Rehoboth Mckinley Christian Health Care Services, Gallup, New Mexico or can call to book an appointment on 505-863-1820.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 January, 2025.